MEDICARE: EBONY NICOLE HIGHBAUGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1457986192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONY NICOLE HIGHBAUGH

Provider Business Mailing Address
First Line	:	318 JEFFERSON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 JEFFERSON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3142
Country	:	US
Telephone Number	:	317-793-0336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	03/03/2020

Similar Medicare Providers

1629960992 — GUARDIAN FAMILIES HOME CARE LLC
Practice Location Address:

356 JEFFERSON AVE
INDIANAPOLIS, IN
46201-3142

Practice Phone: 888-536-1333
Practice Fax:

1063865137 — T.C.S LLC A LCP TRANSPORTATION COMPANY
Practice Location Address:

4308 GUION RD
INDIANAPOLIS, IN
46254-3142

Practice Phone: 317-522-0600
Practice Fax:

1821803768 — MELISSA ANN APPLETON
Practice Location Address:

55 S STATE AVE STE 310
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-418-7011
Practice Fax: 317-510-1799

1023961356 — SKYLINE LAB LLC
Practice Location Address:

2506 E WASHINGTON ST STE 101
INDIANAPOLIS, IN
46201-4126

Practice Phone: 718-666-0540
Practice Fax:

1245183185 — ABIGAIL COPPOLA
Practice Location Address:

31 N DREXEL AVE
INDIANAPOLIS, IN
46201-3735

Practice Phone: 317-749-3773
Practice Fax:

1184513772 — BURAQ HOLDING LLC
Practice Location Address:

2506 E WASHINGTON ST STE 103
INDIANAPOLIS, IN
46201-4126

Practice Phone: 619-394-2059
Practice Fax:

Directions to “ EBONY NICOLE HIGHBAUGH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.